Home > ACA Forms - 1094 & 1095 > Preprinted 1095-B Half Page Form (B95BHPREC05)
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Description   Preprinted 1095-B Half Page Form Use this preprinted laser form for printing form 1095-B. Instructions print from compatible software onto the bottom portion of this form. Folding perforation at 5 ½”. Order by number of sheets needed. Compatible envelopes: - 95DWENV05 - 95DWENVS05 A 1095-B form must be issued by a self-insured employer with less than 50 full-time employees (including full-time equivalent employees), or by the insurer to employees and to the IRS as proof of healthcare coverage. Related Products... 1095-B Continuation Form (B1095BCON05) Preprinted 1095-B Full Page Form w/Instructions (B95BFPREC05) 1095-C Forms - Pressure Seal 14" EZ Blank with instructions (PS95CISB) Blank Pressure Seal 14” EZ Fold 1095 (81650) Pressure Seal 1095-C with instructions on back (PS95CMW) 1095 Double Window Envelope Moisture Seal (95DWENV05) 1095-B Health Coverage (B1095B05) Preprinted 1095-C Recipient Continuation (95CRCCNP)

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